| NPI | 1245343110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA DEYOUNG Director Of Billing 502-245-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 2470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 002058) |
| 225100000X Physical Therapist (Licence: KY 004490) | |
| 225X00000X Occupational Therapist (Licence: KY R2591) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-09-11 |